Extraperiosteal toe phalanx transfer for congenital aphalangia: refinement of technique.
Toe phalanges with attached periosteum can be transferred to hands with congenital aphalangia, constructing rudimentary digits with growth potential. Using a volar technique, rather than the traditional dorsal method, allows stabilization of the constructed metacarpophalangeal joint and maximizes flexor function.
Toby
E B
EB
Department of Orthopedics, Bowman Gray School of Medicine of Wake Forest University Winston-Salem, NC 27103.
Koman
L A
LA
Poehling
G G
GG
D005260:Female; D005384:Finger Joint / Q000502:physiology; D005385:Fingers / Q000002:abnormalities* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D016059:Range of Motion, Articular; D014034:Toes / Q000637:transplantation*